Kristoffer Villanueva Guerrero, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11026795 Issued in FL

Practice address

1790 E Venice Ave Ste 204
Venice, FL 34292-3191

Phone

(941) 488-8884

Fax

(941) 488-5554

NPI assigned

Sep 28, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cornerstone Psychiatric Services IncGroup PAC ID 8224113584, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornerstone Psychiatric Services Inc

  • Psychiatry Physician
  • Venice, FL
  • NPI 1932195187
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1699554568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 E VENICE AVE STE 204",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923191",
            "telephone_number": "941-488-8884",
            "fax_number": "941-488-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 E VENICE AVE STE 204",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923191",
            "telephone_number": "941-488-8884",
            "fax_number": "941-488-5554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14201 Foothill Blvd Unit 23",
            "address_purpose": "LOCATION",
            "city": "Sylmar",
            "state": "CA",
            "postal_code": "913421577",
            "country_code": "US",
            "telephone_number": "323-459-2603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "KRISTOFFER",
        "middle_name": "VILLANUEVA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-28",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11026795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drew Lani Grissell
• Howard Alan Grossbard, M D
• Debra Ann Grubb, A.P.
• Guardian Health LLC
• Christopher Guerin, M.D.
• Leah Guillemette
• Gulf Breeze Adult Family Care Home LLC
• Gulf Coast Digestive Health Center PL
• Gulf Coast Endoscopy Center of Venice LLC
• Gulf Coast Health Care Services, Inc.

• Psychiatric/Mental Health Nurse Practitioner in Venice, FL
• Providers in Venice, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.